CMS Formulary

Displaying 157641-157650 of 1611142 results.
ID: 157641
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157642
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859975
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157643
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 283316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157644
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 283317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157645
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 477130
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157646
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 849389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157647
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157648
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157649
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157650
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0